{ "background": "Maintenance regime adoption in transport depots is critical for infrastructure longevity, yet diagnostic frameworks to guide implementation are often not empirically validated in low-resource settings. There is a lack of robust field evidence on the efficacy of structured diagnostic tools in improving maintenance practices within such contexts. ", "purpose and objectives": "This study aimed to evaluate, through a randomised field trial, the adoption rate of a novel diagnostic framework designed to guide maintenance regime selection in transport depots. The primary objective was to quantify the framework's effect on the implementation of scheduled maintenance protocols. ", "methodology": "A randomised controlled trial was conducted across multiple transport depots. Depots were randomly assigned to an intervention group, which utilised the diagnostic framework, or a control group, which continued with existing practice. Adoption was measured via a composite score of maintenance procedure adherence. The effect was estimated using a linear regression model: Yi = \0 + \1 Ti + \, where Yi is the adoption score, Tᵢ is the treatment indicator, and robust standard errors were clustered at the depot level. ", "findings": "Depots using the diagnostic framework demonstrated a statistically significant increase in adoption scores. The estimated treatment effect was 18. 7 percentage points (95% CI: 12. 3 to 25. 1). Thematic analysis of implementation logs identified resource allocation planning as the most frequently activated component of the framework. ", "conclusion": "The diagnostic framework is an effective tool for improving the structured adoption of maintenance regimes in resource-constrained depot environments. Its systematic approach addresses key barriers to implementation. ", "recommendations": "Transport authorities should integrate the diagnostic framework into depot management protocols. Further research should investigate long-term impacts on asset life-cycle costs and operational downtime. ", "key words": "maintenance management, randomised trial, infrastructure, asset management, implementation science", "contribution statement": "This paper provides the first experimental evidence for a structured diagnostic tool to improve maintenance adoption
Mwakapenda et al. (2007) studied this question.